Ukuhlinzwa kokulahlekelwa isisindo, okubizwa nangokuthi ukuhlinzeka nge-bariatric, kungenye yezinketho zokwelapha eziphakanyisiwe ezenzelwe abantu abalwa nokukhuluphala ngokweqile. Lolu hlobo lokuhlinzwa alukho mayelana nesinqamuleli sokulahlekelwa isisindo noma ngokuthola umzimba okhangayo. Ukuhlinzwa kweBariatric kuyindlela yokuhlinzwa eyenziwa ngenhloso esemqoka yokuguqula nokuvimbela izinkinga zezempilo zokukhuluphala.
Izinkinga zokukhuluphala zihlanganisa isifo sikashukela, isifo senhliziyo, umfutho wegazi ophakeme , nesifo sohlangothi . Iningi lala macala ahlobene nempilo ayaziwa ekuholeni. Eqinisweni, ukushaywa yisifo yisisindo esiningi sokushintsha ukucindezeleka kokukhuluphala. Cishe amaphesenti angu-12-18 abantu ababhekana nesifo sokushaya isifo abasaphila ngenkathi labo abasinda ekuhlangenwe nakho bephila isikhathi esifushane. Kulinganiselwa ukuthi abasindile besifo abanesihlungu babhekana nesilinganiso seminyaka eyi- 12 1/2 ngaphambili kokufa . Ukuphila njengomuntu osindile ngesifo sohlangothi ngokuvamile kusho iminyaka yokukhubazeka kanye nezindleko ezinkulu zezimali zokushaya isifo .
Noma kunjalo, ukuhlinzeka nge-bariatric kuyindlela enkulu yokuhlinzwa. Uma ucabangele ukuhlinzeka nge-bariatric noma uma udokotela wakho ancoma ukuthi uyibheke kuwo, kufanele wazi ezinye zalezi zisekelo ngokuphathelene nobuhlobo bayo neengozi yokushaya isifo.
Kuyini Ukuhlinzwa Kwebhatari?
Ukuhlinzeka nge-Bariatric nokuhlinzwa kwesisindo kukhona imisebenzi yokuhlinza eyenzelwe ngenhloso yokwenza isisindo nokuvimbela ukuzuza kwesisindo.
Kunezinhlobo eziningana zokuhlinzwa kwesisindo. Isibonelo, i-bypass ye-gastric yinqubo ephinde ivuselele ukuxhumana phakathi kwamathumbu amancane nesisu, ekugcineni iholele ekhalini elincane elitholwe emzimbeni. Ngemuva kwenqubo ye-gastric overpass, ukudla okudliwa ngumuntu kungena emathunjini amancane masinyane emva kokungena esiswini.
Isisu yilapho ukudla okuningi kulungele khona ukungena emathunjini amancane, ngakho isikhathi esifushane esiswini sithola ama-khalori ambalwa asuka ekudleni angene emzimbeni.
Ukuthengiswa kwe-gastric kanye nezinqubo zokugqoka esiswini kuyizinhlobo zokuhlinzwa kwesisindo ezibandakanya ukususa ingxenye yesisu ukwenza kube mncane. Ngemuva kokugcoba kwesisu, isisu sincishiswe ngokoqobo ngosayizi ngakho-ke akusizi kahle ukudla ngokweqile. Ukudla ngokweqile ngemuva kwenqubo ye-gastric bypass kungase kubangele nokuhlanza. Ukudla kancane kusho izindlela ezincane eziholela ekulahlekelweni kwesisindo.
Enye yezinye izinhlobo ezijwayelekile zokuhlinzeka nge-bariatric kuyinto yokugaya i-gastric. Ukuboshwa kwama-gastric kuhilela ukuhlinzekela ibhande endaweni yesisu ukudala ukuzwa okugcwele - njengokungathi isisu sincane. Le nzwa yokugcwala okuphumela ngemva kokudla ukudla okuncane okuvimbela ukudla ngokweqile. Zonke lezi zindlela zindlela eziphumelelayo zokuvimbela ikhalori futhi zenze kokubili ukulahlekelwa isisindo nokuvimbela inzuzo yesisindo.
Izinqubo ezifana 'ne-tummy tucks' ne-liposuction akuzona izinhlobo zokuhlinza ezibhekwa ukuhlinzwa kwesisindo noma ukuhlinzwa kwe-bariatric. Lezi zinhlobo zezinqubo zisusa amafutha noma isikhumba emzimbeni ukuze 'zidwebe' ukuma nobukhulu bomzimba.
Abanayo umthelela emalini amakholori umuntu angadla futhi awunayo izinzuzo ezifanayo zezempilo njengendlela yokuhlinzwa ye-bariatric.
Usizo lwe-Bariatric Surgery luvimbela kanjani ukushaywa yisisu?
Ukukhuluphala kuhlotshaniswa nesigameko esiphezulu sohlangothi. Indlela enempilo yokulahlekelwa isisindo ngokuvamile ngokusebenzisa uhlelo lokuhle lokuguqula impilo ehlanganisa nokudla nokuzivocavoca. Ukudla okunomsoco wokulahlekelwa isisindo kugxile ekwenzeni izakhi ezidingekayo ngokudla ukudla okunomsoco ngenkathi kancane kancane ukulahlekelwa isisindo ngokuvinjelwa kwekhalori.
Ukuzivocavoca ukulahlekelwa isisindo kugxile ekuhlanganyeleni njalo emisebenzini engokomzimba esebenzisa amakholori, njengokuhamba, noma ukuzivocavoca kwe-aerobic njengokugijima noma ukuhamba ngebhayisikili.
Nokho, abanye abantu abakwazi ukulahlekelwa yisisindo esiningi ngokweqile yokuphila kuphela. Futhi, uma umuntu ekhulu kakhulu ngokweqile, kungaba nzima ukuthola isisindo esinempilo kuphela ngokudla nokuzivocavoca. Isisindo esiqondile noma inkomba yomzimba womzimba (BMI) okwanele ukudala izinkinga zezempilo zingahluka kubantu abahlukene. Kwezinye izimo, udokotela wakho angase anikeze ukulahlekelwa isisindo ukuze ukwazi ukugwema izinkinga zokukhuluphala okunjenge-stroke, futhi, ngokuya ngesimo sakho, ukuhlinzeka nge-bariatric kungase kunconywe njengendlela yokukhetha.
Ingabe Ukuhlinzeka Nge-Bariatric Ngempela kusiza Ukuvimbela Isisu?
Iqembu lokucwaninga elibandakanya i-Cardiovascular Institute e-University of Manchester e-UK laqoqa imiphumela yezifundo ezingu-14 ezihlukene ngomphumela wokuhlinzwa kwe-bariatric. Idatha ibonise ukuthi kwaba nesilinganiso sokufa esiphansi sama-50% phakathi kwababambiqhaza ababenokuhlinzeka nge-bariatric kanye nomngcipheko omkhulu we-stroke kanye nesifo senhliziyo phakathi kwabahlanganyeli ababenesifo se-bariatric.
Elinye iqembu labacwaningi elenziwe iqembu elivela emanyuvesi amaningana e-United States, kuhlanganise neYunivesithi yase Utah, i-University of Alabama eBirmingham, iBrigham Young University kanye neWill Cornell College of Medicine, ibukeze umphumela wokuhlinzwa kwe-bariatric ngezifo zezokwelapha. Imiphumela yabonisa ukuthi iziguli ezithe xaxa ezazihlinzekwa nge-bariatric zithole ithuba eliphansi kakhulu lokushaya isifo uma ziqhathaniswa nabantu abafana nabakhulu ababengenalo ukuhlinzwa kwesisindo.
Omunye wemiphumela yokuhlinzeka nge-bariatric kwaba ukwehla ekuthuthukiseni uhlobo lwe-2 lwesifo sikashukela kanye nokuguqulwa kwesifo sikashukela sohlobo 2 phakathi kwalabo abasenalo kakade. Ngokusho kwe-Journal of the American College of Surgeons, iziguli ezine-type 2 yesifo sikashukela esinesifo sikashukela esine-bariatric zahlinzeka ukunciphisa amaphesenti angu-60-80 emithonjweni yemisipha njenge-stroke ne-heart attack.
Ingabe Indleko / Inzuzo Yayikufanele?
Yiqiniso, ukuhlinzwa kwesisindo kuyindlela enkulu, ngakho kubalulekile ukucabangela ukuthi izinzuzo zifanele yini ingozi. Kunemiphumela emibi kanye nezinkinga zokuhlinzeka nge-bariatric, kuhlanganise nokungondleki, i-anemia kanye nokungahleleki kwemithi ye-hormone. Ngokuvamile, ukuhlinzwa kwesisindo kuye kwaboniswa ukuvimbela ukufa, futhi ukuvimbela ukushaywa yisifo yisisusa esikhulu salowo mhlomulo. Eqinisweni, ngokusho kwezindaba ezikhishwe yi-American Heart Association, izinkampani zomshuwalense wezempilo zandisa izindlela ezizisebenzisa uma kuziwa ekukhokheni ukuhlinzeka nge-bariatric.
Kwabanye abantu, izingozi zokuhlinzwa kwesisindo ziphawuleka kakhulu kanti abanye abanye izingozi zibekezeleleke kakhulu ngenxa yezinzuzo zezempilo ezingenzeka. Kungakhathaliseki ukuthi uzobe ungcono yini ekuhlinzekeni kwesisindo noma nge-non-surgical indlela yokulahlekelwa isisindo kuncike eziningana zezici okudingayo ukuxoxa ngazo neqembu lakho odokotela.
Imithombo:
Ukubangela konke okubangela kanye nalokho okushiwo umphumela okuhlobene noBariatric Surgery: Ukubuyekezwa, i-Adams TD, i-Mehta TS, i-Davidson LE, i-Hunt SC, imibiko yamanje ye-Atherosclerosis, ngo-December 2015
Ukuhlinzwa kwe-Bariatric kanye nomthelela wayo ezifweni zenhliziyo nokufa: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta, uKwok CS, Pradhan A, Khan MA, Anderson SG, Keavney BD, Myint PK, Mamas MA, Loke YK, International Journal of Cardiology, Ephreli 2014
Ukuhlinzwa kwe-Bariatric kuhlotshaniswa nokunciphisa izinkinga ezinkulu eziyinkimbinkimbi kanye nezinkinga ezincane ezincane ngokulinganayo ukuze ziqede kakhulu iziguli ezinezinhlobo ezimbili zesifo sikashukela, uJohnson BL, Blackhurst DW, Latham BB, Cull DL, Bour ES, Oliver TL, Williams B, Taylor SM, Scott JD, The Journal of the American College of Surgeons, ngo-Ephreli 2013